| NPI | 1831401108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ME 1327) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: ME 1-10-7297) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2025-08-06 |